Individual
KELSEY LYNN BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2118 25TH ST STE E, COLUMBUS, IN 47201-3240
(812) 373-2700
(812) 373-2710
Mailing address
PO BOX 775383, CHICAGO, IL 60677-5383
(812) 376-5315
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01083809A
IN
Other
Enumeration date
06/14/2017
Last updated
09/06/2024
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